摘要
目的探讨系统化语音功能训练对舌癌术后软组织缺损游离皮瓣修复患者语音清晰度及生存质量的影响。方法行舌癌病灶扩大切除术+颈淋巴清扫术+游离皮瓣转移修复术的舌癌患者68例随机均分为两组。术后1周,观察组采取系统化语音功能训练,对照组采取传统语音功能训练,比较两组患者的语音清晰度及生活质量。结果术后1、3、6个月和1年观察组患者的语音清晰度优于对照组(P<0.01);术后6个月和1年观察组患者的生活质量评分优于对照组[(756.2±52.2)分vs.(555.6±62.8)分和(906.4±68.1)分vs.(766.2±82.7)分](P<0.01)。结论系统化语音功能训练能提高舌癌术后软组织缺损游离皮瓣修复患者的语音功能及生存质量。
Objective To investigate the effect of postoperative systematic speech functional training on speech articulation and life quality in tongue cancer patients with tongue reconstruction by free flap.Methods A total of 68 patients with tongue cancer underwent glossectomy combined with neck dissection and tongue reconstructive with free flap was equally randomized into two groups of A and B.The patients of group A were received systematic speech functional training and those of group B received conventional speech functional training.The speech articulation and life quality were compared between two groups.Results The speech articulation in one month,three months,six months and one year after operation was better in group A than that in group B（P〈0.01）.Meanwhile,six months and one year after operation,the score of life quality in group A was better than that in group B[（756.2±52.2）points vs.（555.6±62.8）points and（906.4±68.1）points vs.（766.2±82.7）points]（P〈0.01）.Conclusion The postoperative systematic speech functional training may effectively improve the speech function and life quality in tongue cancer patients with tongue reconstruction by free flap.
出处
《江苏医药》
CAS
2016年第24期2670-2673,共4页
Jiangsu Medical Journal
基金
南京市医学科技发展项目(YKK14108)
关键词
系统化语音功能训练
舌癌
Systematic speech functional training
Tongue cancer
